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How do I enroll in or make changes to my life insurance coverage?

After your 31-day period of initial eligibility (PIE) has ended, you can still enroll in or increase Supplemental Life Insurance coverage. To enroll in or increase Supplemental Life Insurance coverage, complete the Short-Form Health Questionnaire then follow the Prudential form instructions. Prudential will review your request to determine eligibility – approve or deny. Contact Prudential for further eligibility questions at 877-889-2070.

If approved by Prudential, you must complete the HSA, Life Insurance, Supplemental Disability, and AD&D Change form. Follow the form instructions, and then submit the form with approval notification from Prudential to UCPath by Submitting An Inquiry. If you do not submit the approval notification and form, your enrollment will not occur